Individual
MIA ROSE LANSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2833 N CLYBOURN AVE, CHICAGO, IL 60618-8470
(847) 604-0027
Mailing address
1 W SUPERIOR ST APT 601, CHICAGO, IL 60654-8809
(513) 410-0775
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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